Payer

With as many as 15 million people expected to lose Medicaid coverage when the pandemic-era public health emergency ends, CMS can do more to reduce administrative hurdles to verify eligibility, advocates write in Health Affairs. 

Medicare Part B premiums and deductibles are set to decrease in 2023, one year after seeing a historic hike. 

Alabama, Hawaii, Florida, New York and New Jersey are the states with the highest incidences of low-value care, a new study published in Health Affairs found. 

Many owners of small and midsize businesses say they are struggling with the cost of healthcare premiums for their employees, a new survey found. 

Millions of Medi-Cal recipients may have to switch health insurers, and doctors, after the state awarded Molina a swath of Medicaid contracts in some of its largest counties, according to a Kaiser Health News report published by the Los Angeles…

To survive the rapid increase in healthcare costs, payers need to focus on slimming down medical and administrative costs, a new analysis from McKinsey & Co. says. 

Nearly 15,000 independent and community pharmacies will be dropped from Tricare's network next month, military.com reported Sept. 23. 

The American Hospital Association and the American Medical Association, along with 30 additional national and state medical groups, filed amicus briefs Oct. 19 in support of a lawsuit from the Texas Medical Association that once again challenges the arbitration process…

From UnitedHealthcare expanding its partnership with Peloton to new payer-provider health plans, these are eight payer partnerships reported by Becker's since Sept. 8:

Higher courts are likely to strike down, at least in part, the ACA's provisions requiring preventive care coverage, healthcare attorneys say.